• Neonatal Medicine
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• 제17권2호
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• pp.254-261
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• 2010

신생아에서의 미토콘드리아 질환은 임상 증상이 다양하고 비특이적이라 진단이 어렵고, 치명적으로 생존율이 낮기 때문에 이에 대한 연구는 미비하다. 본 연구에서는 신생아기에 미토콘드리아 질환 소견으로 치료한 3례를 보고하였다. 증례 1은 갑작스럽게 발생한 강직성 경련, 의식 소실 및 심한 대사성 산증과다기관 기능 부전으로 미토콘드리아 병증이 의심되었다. 혈장내 젖산/피루브산염 비가 55.6, 아미노산 검사에서는 알라닌 2,237 nmol/ml로 증가되었다. 증례 2에서는 급성 부신기능부전과 급성 신부전으로 복막 투석을 하였으나 대사성 산증이 지속되었다. 혈장 내 젖산/피루브산염 비가 23.9였고, 근 조직을 이용한 효소 분석에서 1번 복합체의 호흡 사슬 결함이 진단되었다. 증례 3은 출생 후 2개월간 반복되는 대사성 산증과 기면, 수유 곤란 소견을 보였다. 혈장 내 젖산/피루브산염 비가 19.4로 정상 범위의 경계에 있었으나 뇌척수액 검사상 젖산/피루브산염 비가 57로 현저하게 증가된 소견을 보였고, 뇌 자기 공명 분광경 검사에서 lactate peak 소견을 보였다. 근 조직을 이용한 효소 분석에서 2번 복합체의 호흡 사슬 결함이 진단되었다. 세증례 모두에서 미토콘드리아 질환 소견으로 비타민, 조효소 Q10 및 L-카르니틴을 투여하였다.

• 사상체질의학회지
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• 제15권3호
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• pp.88-99
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• 2003

Background and Objective : The status of development of instruments to assess the 'health status' reflecting the concept of Sasang Constitutional Medicine is still far from satisfaction, despite their importance in building basic data for health promotion, evaluation of effectiveness of treatment, health policy and so on. for these reasons the health scale of Sasang Constitutional Medicine shod be developed. Therefore as from of preliminary research, this study is to review the concept of health and symptoms in health status in Sasang Constitutional Medicine. Methods : It was researched as bibliologically with Dong-mu's chief medical writings such as ${\ulcorner}Dongyi$ Soose $Bowon{\lrcorner}$(東醫壽世保元)${\ulcorner}Dongyi$ Soose Bowon Sasang Chobongyun(東醫壽世保元四象草本卷)${\lrcorner}$ - Results and conclusion : 1. In Sasang Constitutional Medicine, it is suggested that Inherent vitality(命脈實數) has relations to health and Knowledge-Acting(知行) is a primary factor which affects health. And it is thought that Healthy condition(完實無病) is that human being has enough Healthy energy(保命之主) of Small viscera. 2. In Sasang Constitutional Medicine, it is thought that stool, urine, sweating and digestion become important indexes to measure the physical health state. 3. In Sasang Constitutional Medicine, it is thought that the mental health is in control of inclination of mind by golden mean(中庸) and in tranquillity of constant mind according to constitution. 4. In Sasang Constitutional Medicine, it is thought that the social health is state thar can do social acting harmoniously by keeping away from alcohol, sexual appetite, property and power.

• Journal of Trauma and Injury
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• 제19권1호
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• pp.47-53
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• 2006

Purpose: Recently, the American Heart Association recommended that routine cervical spine protection in submerged patients was not necessary, except in high-energy injury situations. However, until now, this recommendation has few supportive studies and literatures. This retrospective study was performed to demonstrate the risk of cervical spine injury in patients who had been submerged in a river. Methods: Seventy-nine submerged patients who visited St. Mary's Hospital between January 2000 and December 2005 were included in this retrospective study. We investigated and analyzed the victim's age, sex, activity on submersion, mental status and level of severity at admission, prognosis at discharge, associated injuries, and risk group by using the medical records and cervical spine lateral images. According to the activity on submersion, victims were classified into three groups: high risk, low risk, and unknown risk. The reports of radiologic studies were classified into unstable fracture, stable fracture, sprain, degenerative change, and normal. Results: The patients' mean age was 36.8 yrs, and 54% were males. Of the 79 patients, adult and adolescent populations (80%) were dominant. Jumping from a high bridge (48%) was the most common activity on submersion and accounted for 52% of the high-risk group. The Glasgow coma scale at admission and the cerebral performance scale at discharge showed bimodal patterns. The results of the radiologic studies showed one stable fracture, one suspicious stable fracture, and 18 sprains. The incidence of cervical spine fracture in submerged patients was 2.5% in our study. The incidence of cervical spine injury was higher in the high-risk group than it was in the low-risk group, especially in the jumping-from-high-bridge subgroup; however this observation was not statistically significant. No other factors had any significant effect on the incidence of cervical spine injury. Conclusion: Our study showed that even submerged patients in the high risk group had a low incidence of cervical spine fracture and that the prognosis of a patient did not seem to be influenced by the cervical spine fracture itself.

• 한국가정과교육학회지
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• 제17권4호
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• pp.1-26
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• 2005

본 연구는 우리나라 청소년들의 식습관, 영양 및 식이섬유 섭취현황을 성별, 도시와 농촌 지역별로 조사하여 식생활 현황과 문제점들을 파악하고, 이에 따라 청소년들에게 바람직한 식습관을 형성시키며 올바른 영양교육 및 개선방향 정립을 위한 기초 자료를 제공하고자 하는데 목적을 두었다. 조사대상 남$\cdot$여학생의 $80\%\~90\%$는 정상 또는 여윔상태였으며 지역간에는 식생활비에 차이가 보였다. 식생활운영에는 어머니의 연령, 학력, 가족수 등의 요인이 영향을 미치고 있었다. 식사패턴은 $60\%$이상이 불규칙하며 약 $40\%,\;50\%$의 청소년이 편식을 하고 있었다. 에너지섭취량과 3대 영양소 섭취율은 1일 한국인 영양권장량에 미달되었다. 식이섬유의 1일 평균 섭취량은 권장량에 크게 미달되는데 특히 농촌 청소년의 경우가 더 낮았다. 식이섬유 섭취량과 식물성 음식의 기호도는 상관관계가 있는 것으로 나타났다. 이에 따라 청소년들의 영양교육 지도는 지역별, 성별 요인을 고려하여 이루어져야 하며, 영양교육 시에는 청소년들이 매스컴의 영향으로 마른 체형을 선호하여 건강을 위협받고 있으므로 이들의 자아정체감 및 가치관 형성을 위한 교육도 병행되어야 할 것이다. 아울러 청소년에게 필요한 각종 영양소와 식이섬유 섭취를 위한 잡곡밥, 생선류, 채소류, 김치류 등을 주로 한 단체급식 구성에 중점을 두어야 할 것이며, 식습관, 각종 영양소 및 식이섬유 섭취에 대한 학교차원, 사회차원에서의 평생교육이 요망된다.

• 대한유전성대사질환학회지
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• 제15권3호
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• pp.147-154
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• 2015

목적: 우리나라 케톤분해이상질환군의 연령별분포, 임상양상 등을 알아보고자 본 연구를 시행하였다. 방법: 2007년 1월부터 2015년 9월 사이에 소변유기산분석을 시행하였던 2,794명의 환자 중에서 반복부하 유기산분석으로 진단된 67명의 케톤분해이상질환군환자들의 임상양상을 분석하였다. 결과: 케톤분해이상질환군 환자의 분포는 신생아기 1명, 영아기 30명, 소아기 31명, 청소년기 5명으로 나타났고, 가장 많은 주증상은 경련발작이었으며 발달지연을 동반한 경련발작, 발달지연 등이 뒤를 이었다. 결론: 우리나라의 발병빈도는 다른 나라에 비하여 높은 것으로 판단되며, 소아청소년과 의사들의 관심이 필요하다고 판단된다.

• 혜화의학회지
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• 제9권1호
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• pp.745-761
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• 2000

Literatural study for Delirious speech and Fading murmuring, the results were as follows. 1. Delirious speech and Fading murmuring are given at the speech impediment. Derious speech to be out of language's order and slur the end of his words, and Fading murmuring is to repeat in losing conscious. 2. In constrast with Delirious speech and Fading murmuring, Maniac speech is induced by a general term for manic-depressive psychosis. Luoyan is to say in a feeble voice and mumble in a sleeping condition, and Paraphasia and Solioquy are appeared in a clear mental condition. The speech impediment is caused by damages of the nervous system and speech organ, and Yuyancuoluan is appeared in a feverless condition. 3. The symptoms of Delirious speech are to utter ravings and have a loud and heavy voice, and these resemble the delirium which specially has a speech impediment and muddle in the western medical world. The symptoms of Fading murmuring are to speak ambigously, repeatedly, and illogically and so are similar to the Wernicke dysphasia which is caused by a incomprehensible conversation. 4. The causes of Delirious speech are to spread a stomach heat and the lungs pathogenic qi into heart, not to sweat in cold damage, the Three Yang Combination of syndrome, stomach repletion, yang collapse due to excessive sweat, diarrhea, after diarrhea, heat to enter the blood chamer, feces to remain in the stomach, stasis blood to enter the viscera, to carry anger to extremity, and to be constipated. the cause of Fading murmuring is to despair vacuity desertion of vital essence and energy after a serious illness. 5. The causes of delirium are general infection, postoperative states, and metabolism disorders and those of Wernicke dysphasia are disorders of the blood vessel, brain tumors and traumas. 6. Delirious speech is cured with the discrimination of vacuity and repletion. Baitong Tang(白通湯), Chaihu Guizhi Tang(柴胡桂枝湯), Chaihu Jia Longgu Muli Tang(柴胡加龍骨牡蠣湯) are prescribed in case of vacuity, while Chengqi Tang(承氣湯), Baihu Tang(白虎湯), Liangge San(凉膈散) are in case of repletion. Fading murmuring is treated with Xiao Chaihu Tang(小柴胡湯), Fuzi Tang Jiawei(附子湯加味), Shengmai San(生脈散), and Renshen Sanbai Tang(人蔘三白湯). 7. To acupunture Qimen-Xue(期門穴) is required when it is late to prescribe a medical decoction or the hyperactive liver qi attacking the spleen.

• 대한지역사회영양학회지
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• 제19권2호
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• pp.142-162
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• 2014

Objectives: To evaluate the critical environmental factors on healthy-aging of Korean people, we investigated the significant factors influencing health status of septuagenarians living in rural area of Jeonla province, known to be one of the representative longevity regions in Korea. Methods: We divided subjects into healthy group (36M/25F) or poor-health group (26M/73F) based on self-reported health status, body mass index, a number of prescription, and blood test data. General characteristics, physical measurements, lifestyle, dietary behavior and nutrient intake, physical health and mental health data were statistically compared between the two groups. Results: Average age was not different between healthy group and poor-health group in men and women, respectively. In men, significantly favorable factors to health were observed to be higher education, regular exercise, higher grip strength and walking function, body mass index (${\geq}18.5kg/m^2$), moderate frequency of drinking and eating-out, non-smoking, normal red blood cell (RBC) count, higher serum dehydroepiandrosterone-sulfate (DHEAS) level, good digestive function and appetite, normal hearing function, regular meals, adequate vegetable and fruit intake, diverse food intake, adequate energy and nutrients (protein, vitamin $B_1$, $B_6$, C and E, folate, niacin, P, Zn and K) intake, higher mini-nutrient status assessment (MNA) score and low level of depression. On the other hand, in women, those were literacy, living arrangement, moderate frequency of drinking, healthy teeth, higher grip strength and walking function, bone mineral density, normal RBC and white blood cell (WBC) count, higher DHEAS concentration, higher MNA score, normal cognition and memory function, having snack and adequate fruit intake. Conclusions: These results could be useful to plan effective strategies to increase health-life expectancy of Korean old people living in rural areas.

• 동양고전연구
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• 제57호
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• pp.407-435
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• 2014

구사당(九思堂) 김낙행(金樂行)은 18세기 영남의 유학자로서 136제(題)의 한시(漢詩)를 남겼다. 본고에서는 구사당의 한시에 나타난 그의 내면세계를 살펴보았다. 그의 생애는 부친인 제산(霽山) 김성탁(金聖鐸)의 유배와 밀접한 관련을 맺고 있다. 일신의 많은 부분을 포기하고 무려 10년간 부친에게 혼신의 힘을 쏟았다는 사실이 보여주듯이 그에게는 인생의 길을 선택하는 분명한 중심추가 있었다. 어떠한 외풍과 외압에도 흔들리지 않는 강인함을 지닌, 외유내강의 인물이 구사당이었다. 구사당은 부친을 모시는 데 자신의 30대 시절을 바쳤기 때문에 입신양명하지는 못했다. 그가 학문적으로 대성할 자질이 있다는 사문(師門)의 칭송이 있었지만 학업에 전념할 수 있는 절대적 시간과 정신적 여력은 부족했다. 도학자적 삶을 견지했던 구사당은 시문(詩文)에 큰 힘을 쏟지는 않았으나 자신의 인생에서 인상적인 대목에 대해서는 시를 남기기도 했다. 본고에서는 이들 시를 통해 그가 세상과의 관계 속에서 어떤 생각과 감정을 가졌는가를 중심으로 그의 내면을 살펴보았다. 그 결과 다음과 같은 세 가지 특징을 확인했다. 첫째는 부친과 관련된 시에 자의식 과잉에 기인한 우울감이 짙게 배여 있다는 점이며, 둘째는 조화로운 삶에 대한 의지가 굳건했기에 인생에 대한 구도자적 균형감이 드러난다는 점이다. 그리고 셋째는, 세상과 일정한 거리를 둘 수밖에 없었기에 그의 시선에 격절감이 나타난다는 점이다.

• 한국콘텐츠학회논문지
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• 제21권5호
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• pp.837-854
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• 2021

본 연구는 청소년기 자녀 어머니들을 대상으로 양육 경험을 탐색하기 위해 이루어졌다. 연구 참여자는 서울지역의 중학교 1~3학년 자녀의 주 양육자 7명으로 2019년 9월부터 12월까지 심층 인터뷰를 진행하였다. 각 참여자들의 인터뷰 내용을 녹취한 후 전사한 축어록과 인터뷰 요약 내용인 문서 등을 자료로 수집하였다. 본 연구에서는 참여자들이 서술한 경험과 행위에 대한 인식을 연구자가 의미화 할 수 있는 Smith & Osborn (2003)의 해석현상학적 방법으로 분석하였고, 자료 분석 결과 6개의 대주제와 25개의 소주제가 도출되었다. 청소년기 자녀 어머니들의 양육 경험에서 도출된 결과는 크게 6가지로 자녀와 함께 시간보내기의 함의, 당연하지 않은 당위 행동, 표현의 미학, 에너지의 충전 방법, 자녀에게 남기고 싶은 정신적 유산, 유연성이다. 본 연구의 연구결과는 임상 실천 분야에서 어머니들이 어떻게 청소년기 자녀와 상호작용해야할 지에 대한 보편성과 특수성의 양방향을 제시해줄 수 있다고 본다. 따라서 본 연구 결과는 예방적이고 교육적인 차원에서 청소년기 자녀의 어머니들이 양육자로서 자녀와 어떤 상호작용을 하면 좋을지에 대한 건강한 반응의 제시를 제공할 수 있을 것이다.

• 대한한의학원전학회지
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• 제6권
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• pp.252-305
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• 1993

I have studied the relation between a Taoist(道家) and the oriental medicine(韓醫學), it is summerized as following. 1. According to the relation between a Taoist(道家) and the oriental medicine, Lao-tzu(老子)' mathematical principle that had an influence on Three yin-three yang(三陰三陽) theory of the oriental medicine, idea of natural philosopy(自然無爲) and the freedom from avarace(無慾) on the oriental medicine. 2. Vital essence and energy theory(精氣設) in a Taoist not only can be seen in Lao-tzu' Do dug gyung(老子道德經), Maengza(孟子), Guanza(管子), but also its principle has something to do with Nei Ching's Vital essence and energy theory(精氣設). 3. Danjungpa(丹鼎派) can be divided into Naedansul(內丹術) which preserves through the breath and Oedansul(外丹術) which makes one a Taoist hermit. If he takes magic portions(金丹), they had a great effect on Yangsanghak(養生學) and was actually concerned with oriental doctors who was known to us. 4. If medicine of Taoism is classified, it can be divided into three categories. Boiled solution(渴液), Pharmacopea "Ben cao"(本草), Acupuncture & moxibustion(針灸), Magic portions(外丹) are used in the first category. Chinese setting-up and Therapeutic exercises(導引), Josik(調息), Naedan(內丹), Byugok(辟榖), Naeshi(內視), Banjung(房中) belong to second category. The religious contents such as Bu(符), Jeum(占), Cheum(籤), Ju(呪), Je(齊), Gido(祈禱), taboo are implied in third category. 5. In the history of the medicine of Taoism and oriental medicine, they are called animism, shamanism, Mu(巫) or Ye(毉), not separated at first period. In the end of junguk(戰國時代), Ye(醫) was clearly distinguished from Mu(巫) and then Mu(巫) was developed into medicine of Taoism and ye(毉) into the present form of oriental medicine. 6. The oriental medicine doctors that are concerned with Taoism are Bakgo(伯高), Geyugu(鬼臾區), Soyu(少兪), Noigong(雷公), Pyujak(篇鵲), Sunuyi(淳于意), Hwata(華陀), Hwangbomil(皇甫謐), Hangang(韓康), Dongbong(童奉), Heuson(許遜), Galhong(葛洪), Dohongyung(陶弘景), Damlan(曇鸞), uyjajang(葦慈藏), Sonsanak(孫思邈), Wanguing(王氷), Jegonghwalbul(濟公活佛), Yuwanso(劉完素), Judonge(朱丹溪), Leesijin(李時珍), Johakmin(趙學敏), Ougu1(吳杰) etc. 7. The view of a human body in the medicine of Taoism affected the oriental medicine on the ground that man was regarded as a microcosm(小宇宙), so he was compared to a nation or heaven and earth. 8. The anatomy of medicine of Taoism gave a detail description of five visceras and each organs, the heart, center of mental function, Mirie(尾閭) which has an relationship to the training of Naedan(內丹修練). In this resrect, as it is accord with the acupunture point of oriental medicine, therefore we can find that Taoism influenced oriental medicine, also explicit study was achieved. 9. Acient people believed that the goo in the human lxxIy, one of the characteristics of the medicine of Taoism cured the patients and then protected him from the disease. If a man was taken ill, they had him cured by making the god's name which corresponded to its disease, calling him communicating with him, and asking him to deprive him of illness. This treatment was used to live and be kept young eternally. In this respects, we can see that they emphasized on the attitude of Bulchiyibeung chimibeung(不治己病治末病) and psychological treatment. 10. Samsi thoery(三尸說) that one's fortune, disaster, health, and disease in the world are at the mercy of his good or bad conduct, is concerned with Taoism and treatment with the oriental medicine. 11. Guchung(九蟲) is more closly associated with the religious aspect rather than with the medical aspect. Because of the similarity of the mcdern parasitism, its study has an important meaning. 12. The respect for the human life is reflected in jeunsi(傳屍), with Samsi-guchung theory(三尸九蟲說), which is considered as mxIern tuberculosis.